Johnson Prosthetics & Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JOHNSON PROSTHETICS & ORTHOTICS LLC

Practice address

1742 E Joyce Blvd Ste 1
Fayetteville, AR 72703-5260

Phone

(479) 485-3366

Fax

(479) 485-3305

NPI assigned

Oct 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Greg Anthony Johnson, CPONPI 1699928432

Title

Cpo

Phone

(417) 726-9964

Specialties & licenses 1

Addresses

Tax ID family

Johnson Prosthetics Orthotics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnson Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Joplin, MO
  • NPI 1508686106
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greg Anthony Johnson, C.O., BOCP

  • Prosthetist
  • Joplin, MO
  • NPI 1699928432
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1114893252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035260",
            "telephone_number": "479-485-3366",
            "fax_number": "479-485-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035260",
            "telephone_number": "479-485-3366",
            "fax_number": "479-485-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CPO",
        "authorized_official_telephone_number": "417-726-9964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Ryan John, MHPP
• Ravonne John, APRN
• Ashley Nikole Johns
• Jordan Breanne Johnson Bethea, BCBA
• Johnson Chiropractic Center, LLC
• Abigail Speights Johnson, APRN-PMHNP
• Allison M Johnson, M.D.
• Amanda Kelly Johnson, P.T., D.P.T.
• Amy K Johnson, MHPP
• Briana Michele Johnson

• Prosthetic/Orthotic Supplier in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Prosthetic/Orthotic Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.